Individual
FERNANDO MORENO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
6612-18 BERGENLINE AVE., WEST NEW YORK, NJ 07093
(201) 854-5511
(201) 854-5522
Mailing address
11 EAGLE ROCK AVE, SUITE 201, EAST HANOVER, NJ 07936-3167
(973) 887-9000
(973) 887-3816
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
036219
NY
225100000X
Physical Therapist
Primary
40QA01535200
NJ
Other
Enumeration date
06/17/2013
Last updated
07/22/2014
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